NPI | 1295183739 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM JOHN KRAS Nurse Practitioner 813-390-9897 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2721582) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2016-05-25 |